How much rates vary
Facilitymedian $9,550 · 10th to 90th $501 to $14,791Professionalmedian $3,548 · 10th to 90th $2,239 to $4,266
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3,548.13 Median $3,630.78 Typical High $6,918.31 | Facility | None | $3,548.13 | $3,630.78 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $3,801.89 | Professional | None | $2,818.38 | $3,630.78 | $3,801.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $9,549.93 Median $9,772.37 Typical High $16,595.87 | Facility | None | $9,549.93 | $9,772.37 | $16,595.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $602.56 Median $2,344.23 Typical High $3,548.13 | Professional | None | $602.56 | $2,344.23 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $3,388.44 Typical High $4,073.80 | Professional | None | $1,995.26 | $3,388.44 | $4,073.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3,388.44 Median $7,244.36 Typical High $8,128.31 | Facility | None | $3,388.44 | $7,244.36 | $8,128.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $3,890.45 | Professional | None | $2,754.23 | $3,388.44 | $3,890.45 |
Priority Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $4,073.80 | Professional | None | $1,862.09 | $2,570.40 | $4,073.80 |
United Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $3,311.31 | Facility | None | $426.58 | $549.54 | $3,311.31 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $5,011.87 | Professional | None | $3,162.28 | $3,981.07 | $5,011.87 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,412.54 Median $1,819.70 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,412.54 | $1,819.70 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $724.44 Typical High $758.58 | Professional | 53 · Discontinued | $562.34 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,691.53 Typical High $2,818.38 | Professional | 54 · Surgery only | $2,137.96 | $2,691.53 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $537.03 Typical High $562.34 | Professional | 55 · Aftercare only | $426.58 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $363.08 Typical High $380.19 | Professional | 56 · Pre-op care only | $281.84 | $363.08 | $380.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,698.24 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,698.24 | $1,778.28 | $1,778.28 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $676.08 | $707.95 | $707.95 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $2,630.27 Typical High $2,630.27 | Professional | 54 · Surgery only | $2,570.40 | $2,630.27 | $2,630.27 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $512.86 | $524.81 | $524.81 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $338.84 | $354.81 | $354.81 |
Where Michigan sits
The same service costs 5.8 times more in Alaska than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Michigan· 22nd of 51
$3,548
AK $10,000AR $1,738
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.